NPI | 1518223494 |
---|---|
Former Name | JESSICA ELLEN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 45233) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A146462) |
207Y00000X Otolaryngology (Licence: WI 61337) | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2022-12-29 |